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General NPI Number Information
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NPI Number | 1285697524
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Entity Type | Individual
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Provider Name | EDWARD SUAREZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/08/2006
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Last Update Date | 06/10/2020
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Provider Practice Location Address
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Address Line | 11120 N KENDALL DR SUITE 101
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City | MIAMI
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State | FL
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Zip | 33176-0941
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Country | US
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Telephone | 305-274-8811
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Fax | 305-279-0305
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Provider Business Mailing Address
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Address Line | 11120 N KENDALL DR SUITE 101
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City | MIAMI
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State | FL
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Zip | 33176-0941
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Country | US
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Telephone | 305-274-8811
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Fax | 305-279-0305
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | ME41743
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | ME41743
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License Number State | FL
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